| NPI | 1093251415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-18-51801) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-03-22 |